Individual
KELLY LOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LCPC
Contact information
Practice address
671 E. RIVERPARK LANE, SUITE 100, BOISE, ID 83706
(208) 398-3308
Mailing address
671 E. RIVERPARK LANE, SUITE 100, BOISE, ID 83706
(208) 398-3308
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6929
ID
101YP2500X
Professional Counselor
Primary
LCPC-8075
ID
101YP2500X
Professional Counselor
LPC-6929
ID
101YP2500X
Professional Counselor
LPC6929
ID
Other
Enumeration date
07/27/2018
Last updated
04/13/2024
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